Healthcare Provider Details

I. General information

NPI: 1174565857
Provider Name (Legal Business Name): TMH PHYSICIAN ORGANIZATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 03/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6550 FANNIN ST SM1901
HOUSTON TX
77030-2717
US

IV. Provider business mailing address

PO BOX 4941
HOUSTON TX
77210-4941
US

V. Phone/Fax

Practice location:
  • Phone: 713-441-1100
  • Fax:
Mailing address:
  • Phone: 713-441-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. H. DIRK SOSTMAN
Title or Position: PRESIDENT & CEO
Credential: MD
Phone: 713-790-2221